Payer Relations Specialist

Job ID
24290
Type
Regular Full-Time
Location
US-WA-Seattle
Category
Accounting and Finance

Overview

Fred Hutchinson Cancer Center is an independent, nonprofit organization providing adult cancer treatment and groundbreaking research focused on cancer and infectious diseases. Based in Seattle, Fred Hutch is the only National Cancer Institute-designated cancer center in Washington.

 

With a track record of global leadership in bone marrow transplantation, HIV/AIDS prevention, immunotherapy and COVID-19 vaccines, Fred Hutch has earned a reputation as one of the world’s leading cancer, infectious disease and biomedical research centers. Fred Hutch operates eight clinical care sites that provide medical oncology, infusion, radiation, proton therapy and related services, and network affiliations with hospitals in five states. Together, our fully integrated research and clinical care teams seek to discover new cures to the world’s deadliest diseases and make life beyond cancer a reality.

 

At Fred Hutch we value collaboration, compassion, determination, excellence, innovation, integrity and respect. These values are grounded in and expressed through the principles of diversity, equity and inclusion. Our mission is directly tied to the humanity, dignity and inherent value of each employee, patient, community member and supporter. Our commitment to learning across our differences and similarities make us stronger. We seek employees who bring different and innovative ways of seeing the world and solving problems. Fred Hutch is in pursuit of becoming an anti-racist organization. We are committed to ensuring that all candidates hired share our commitment to diversity, anti-racism and inclusion.

 

The Payer Relations Specialist is the primary contact at Fred Hutchinson Cancer Center for maintaining and managing contracted payer and health plan relationships; reviewing managed care operation policies and addressing administrative issues with contracted payers and health plans. This role supports the work of Fred Hutchinson's payer contracting and payer relations department and is a key team member in the organization's work with contracted managed care plans.

Responsibilities

  • Facilitates efficient contract operations by coordinating and establishing a regular touch point with key payers for policy clarifications, issue resolution, updates, etc.
  • Serves as point of escalation, first line of contact for payer-related issues.
  • Leads monthly huddle with Fred Hutch clinical operations subject matter experts in response to changes in health plan and payer policies. Coordinates, tracks and follows up on operational issues with Fred Hutch’s contracted payers.
  • Responsible for the communication and dissemination of managed care plan policies, newsletter updates, appropriate contract and payer information throughout the Fred Hutchinson Cancer Center system.
  • Facilitates timely compliance with health plan credentialing requirements, on-site visits and completes various applications and survey request on behalf of Fred Hutch contracting department (COEs, NCCN, ASTCT).
  • Maintains payer contracting files, facilitates mailing and tracking of notices, correspondence and payer-related documents. Including the maintenance of SharePoint as an internal information source
  • Develops partnerships across the organization, including working closely with revenue cycle, corporate finance, and service line managers to address operational issues and help ensure strong financial performance.
  • Responsible for auditing and attestation of payer directories and works to ensure accuracy of that information on behalf of Fred Hutch
  • Organize, oversee, and/or participate in payer operations meetings in collaboration with the Contracting & Payer Relations Manager
  • Support the implementation of the payer relations and contracting strategy.
  • Other duties as assigned

Qualifications

Required:

  • Bachelor’s degree or equivalent of 3 years experience in healthcare administration, payer contracting, finance or revenue cycle operations.
  • Experience with provider/hospital operations and/or health insurance
  • Excellent communications skills, both verbal and written.
  • Excellent interpersonal skills.
  • Critical thinking skills. Ability to problem solve effectively and creatively
  • Ability to be proactive, self-directing and take initiative
  • Ability to manage multiple projects concurrently with multi-disciplinary teams.
  • Ability to work independently and as part of a team as the situation requires.
  • Effective organizational, time management and planning skills.
  • Effectively analyze and accurately interpret technical information.
  • Experience with Microsoft Office Suite

Preferred:

  • Knowledge and familiarity with medical terminology
  • 2 years of formal project management or leadership experience
  • Health administration, public health or business degree

This position is patient facing and/or requires access to Fred Hutch clinical facilities. As such, full COVID-19 vaccination is required as a condition of employment, without exception. Booster doses are strongly recommended but not required. If declining a booster, completion of the COVID-19 Vaccination Status Form Questionnaire and COVID-19 Booster Declination Training is required. Because of our immunocompromised patient population, there are no medical or religious accommodations available for any employee who is patient facing and/or requires access to Fred Hutch clinical facilities. Only employees whose positions are fully remote, who are not patient facing and/or require no access to clinical facilities, may apply for medical or religious accommodations. As a condition of employment, newly hired employees must provide proof of vaccination before their first day of employment.

 

A statement describing your commitment and contributions toward greater diversity, equity, inclusion, and antiracism in your career or that will be made through your work at Fred Hutch is requested of all finalists.


The annual base salary range for this position is from $67,445.00 to $101,167.00 and pay offered will be based on experience and qualifications.  

 

Fred Hutchinson Cancer Center offers employees a comprehensive benefits package designed to enhance health, well-being, and financial security. Benefits include medical/vision, dental, flexible spending accounts, life, disability, retirement, family life support, employee assistance program, onsite health clinic, tuition reimbursement, paid vacation (12-22 days per year), paid sick leave (12-25 days per year), paid holidays (13 days per year), paid parental leave (up to 4 weeks), and partially paid sabbatical leave (up to 6 months). 

 

Our Commitment to Diversity

We are proud to be an Equal Employment Opportunity (EEO) and Vietnam Era Veterans Readjustment Assistance Act (VEVRAA) Employer. We are committed to cultivating a workplace in which diverse perspectives and experiences are welcomed and respected. We do not discriminate on the basis of race, color, religion, creed, ancestry, national origin, sex, age, disability (physical or mental), marital or veteran status, genetic information, sexual orientation, gender identity, political ideology, or membership in any other legally protected class. We are an Affirmative Action employer. We encourage individuals with diverse backgrounds to apply and desire priority referrals of protected veterans. If due to a disability you need assistance/and or a reasonable accommodation during the application or recruiting process, please send a request to our Employee Services Center at hrops@fredhutch.org or by calling 206-667-4700.

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